Individual
DR. PETER MICHALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
365 COUNTY ROAD 39A, SOUTHAMPTON, NY 11968-5284
(631) 283-8604
(631) 283-1932
Mailing address
PO BOX 5083, SOUTHAMPTON, NY 11969-5083
(631) 283-8604
(631) 283-1932
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
172137
NY
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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